Bioactive glass scaffolds, and method of making

ABSTRACT

A glass, glass-ceramic, or ceramic bead is described, with an internal porous scaffold microstructure that is surrounded by an amorphous shield. The shield serves to protect the internal porous microstructure of the shield while increasing the overall strength of the porous microstructure and improve the flowability of the beads either by themselves or in devices such as biologically degradable putty that would be used in bone or soft tissue augmentation or regeneration. The open porosity present inside the bead will allow for enhanced degradability in-vivo as compared to solid particles or spheres and also promote the growth of tissues including but not limited to all types of bone, soft tissue, blood vessels, and nerves.

This application is a division of U.S. patent application Ser. No.14/692,378, filed on Apr. 21, 2015, now U.S. Pat. No. 9,850,157, whichis a continuation of U.S. patent application Ser. No. 13/836,207, filedon Mar. 15, 2013, now U.S. Pat. No. 9,045,362, which is a division ofU.S. patent application Ser. No. 13/429,629, filed on Mar. 26, 2012, nowU.S. Pat. No. 8,449,904.

FIELD OF THE INVENTION

This invention relates to a biocompatible scaffold for implantation intomammals to facilitate tissue repair and tissue regeneration.

BACKGROUND OF THE INVENTION

Porous bioactive glass scaffolds have been of interest for biomaterialdesign for some time. A microstructure that can stimulate the healingprocess and promote tissue growth while being made from a material thatwill eventually degrade is attractive. Unfortunately, highly porousmaterials inherently have low strength which can be a major detriment.Another major hurdle to be overcome is the poor handleability of porousscaffolds as they easily break when handled, can easily get tangledtogether, and ultimately become ineffective for the intended purpose.The majority of the orthopedic industry uses dense particles of cadaverbone, calcium phosphate based ceramics, or bioactive glass in theirdevices as they have the required strength and handleability requiredduring surgery.

The use of silicate based bioactive glasses such as 45S5 and S53P4, arecurrently used in products approved by the US Food and DrugAdministration and other world safety organizations for use inimplantable devices such as orthopedic implants and are known to becapable of making three dimensional porous scaffolds. Glasses withcompositions similar to 45S5 and S53P4 crystallize rapidly when heatedabove each glasses respective glass transition temperature (T_(g)),making viscous sintering by traditional heat treatments difficultwithout crystallization. Therefore, currently there are no amorphous,rigid, and porous scaffolds composed of silicate glasses arecommercially available. Glasses with wider working ranges with multiplealkali and alkaline earth elements in combination with additional silicahave been developed to fill the need, but these glasses convert tohydroxyl apatite (HA) slower than 45S5 and S53P4, and none of thesescaffolds are in currently available products approved by the FDA forany clinical market.

Silicate glass particles that are larger than >500 μm can take years tofully react with body fluids and be converted to the inorganic componentof bone known as hydroxyapatite (HA) because, large particles of glass(>500 μm) leave voids in healing tissue that take years to remodel intonatural tissue, and the large particles have a relatively small surfacearea mass ratio and don't allow for tissue penetration by bone or bloodvessels.

Porous scaffolds allow for tissue penetration, and the surface areaavailable for reaction with body fluids is relatively large andpenetrates throughout the entire scaffold, which significantly reducesconversion time to HA and final remodeling. The conversion kinetics ofsilicate glass 45S5 to HA has been shown to slow from the contractingvolume model to the diffusion model once the silica gel layer achieves athickness great enough to become the diffusion barrier. This is thereason why a porous scaffold composed of 45S5 will convert to HA in amatter of weeks as opposed to a solid glass 45S5 bead of comparable sizethat could take years.

The crystallization properties and glass transition properties of aparticular glass are important when treating glass and making it into aporous scaffold. Glass compositions composed of relatively lowconcentrations of glass forming oxides and relatively highconcentrations of alkaline and alkaline earth oxides tend to crystallizerapidly when heated above the glass transition temperature, makingbonding by viscous flow difficult. Therefore the ability to make porousmaterials or scaffolds rigid from these glasses by traditional thermaltreatments has not been possible.

Typically, glass is bonded by heating above the glass transitiontemperature to a viscosity appropriate for viscous flow. Depending onthe amount of time allowable for the process and the amount of flowrequired, the viscosity used for processing can vary with theapplication. Glasses used for such applications are designed to resistcrystallization at the processing temperatures because the mobility ofions is high. The more fluid the glass, typically the easier it may befor a glass to crystallize, but this is dependent on how close the glasscomposition is to a crystalline phase and how great the activationenergy is to allow the glass to crystallize.

The glasses that will benefit from this method of bonding requirerelatively low energy input to allow the atoms to rearrange and startforming crystals. The formation of crystals, especially at the particlesurface, is what inhibits the viscous flow of these particles.Crystalline phases that crystallize from glass typically melt atsignificantly higher temperatures than the temperatures required forcrystallization; therefore the crystals do not form a viscous flow thatwould aid in the sintering process. In addition, the tendency towardscrystallization increases as the surface area to volume ratio of theglass component increases, so the smaller the component, the greater thetendency toward surface crystallization and inhibited bonding.

Scaffolds, particularly those designed for use as bone grafts, should behighly porous (>50%) and are often formed by infusing a slurry composedof glass particles and other organic and inorganic components into apreform (foam or sponge or other porous polymer) that must be slowlyburned out prior to sintering. To keep the desired microstructure of thepreform, the heating rate is typically kept low, a few ° C./min, to thesintering temperature, and then the sintered part is slow cooled as toeliminate thermal shock of the glass/ceramic scaffold. For glasses thatcrystallize quickly (45S5 and S53P4), these methods are not effective inmaking rigid glass scaffolds.

The graph shown in FIG. 1 describes the usable regions of interest forthe possible heat treatments of the following invention. Sinteringbioactive glass is a time-temperature-crystallization dependent process,and no single component can be ignored.

Typically, scaffolds discussed in the literature are rough and sharp,which is not an issue for bench scale testing, but can be a significantproblem for clinicians such as orthopedic surgeons that want to press onthe implant material without puncturing a glove. A punctured glove opensthe clinician and the patient up to possible disease transmission, andthe clinician could be injured by the implant material if it were topenetrate the clinician's skin. Therefore, no fully amorphous scaffoldscomposed of silicate based 45S5 or S53P4 bioactive glass are currentlyapproved for by the FDA for clinical use.

The surface roughness of a scaffold is certainly a disadvantage from ahandling point of view, but in a product such as bone putty or even justa single phase implant material such as loose granules, the rough edgesmake each scaffold catch on one another decreasing the flowability ofthe particles. This decrease in flowability decreases the overallscaffold loading the putty can incorporate as the putty itself acts as alubricant to improve the handleability. The debris from broken edges mayalso increase the overall immune response as macrophages try toremove/engulf the small particles.

Therefore a need exists for a method of bonding of silicate basedbioactive glass with a high affinity for crystallization.

SUMMARY OF THE INVENTION

One concept of the invention is a glass, glass-ceramic, or ceramic beadwith an internal porous scaffold microstructure that is surrounded by anamorphous shield and prepared without a volatile component, or binderand pore former. The shield serves to protect the internal porousmicrostructure of the shield while increasing the overall strength ofthe porous microstructure and improve the flowability of the beadseither by themselves or in devices such as biologically degradable puttythat would be used in bone or soft tissue augmentation or regeneration.The open porosity present inside the bead will allow for enhanceddegradability in-vivo as compared to solid particles or spheres and alsopromote the growth of tissues including but not limited to all types ofbone, soft tissue, blood vessels, and nerves. A few examples of theinternal microstructure are directionally oriented or randomly orientednetwork of fibers, randomly oriented network of fibers mixed with glassbeads, or it can be composed of interconnected pores formed by thepartial fusing of glass particles. The shielded scaffolds may compriseone or more glass compositions for purposes of controlling degradation,biological stimulation, or antimicrobial properties to name a few.

The subject invention involves a method that packages the porousscaffold and retains the desired degradability and porous microstructureof a scaffold in an encapsulated shell that increases the scaffoldstrength and lubricity prior to implantation and improves handleabilitywhen used as a standalone graft material or a component of a putty.Thus, protecting the bioactive glass scaffold microstructure can beeffected prior to and during the implantation and will enhance themicrostructures available in markets such as orthopedic, spine, and softtissue wound healing.

In the practice of the subject invention, a powder of bioactive glass iscrushed and wetted. The wetted powder is mixed to make the wet particlesstick together and form agglomerates, which may then be sintered or usedas putty. Another embodiment is composed of sintered fiber granules madeby a similar method, i.e., fiber balls are made by mixing glass fibersand glass beads and vibrating, which in turn forms interlockingstructures that are then placed in a ceramic crucible for heattreatment. The resulting porous rigid granule comprises of sinteredfibers and beads. Another embodiment uses the previously mentionedinterlocking fibers and beads and flame sinters the granules by droppingthe interlocking structures through a flame which forms a relativelysmooth porous shield surrounding a core of unbound or loose fibers andbeads. Another embodiment involves sintering the particulate or fiberscaffold in a crucible first, then heating in a flame to form a surfacelayer shield, and once it has passed through the flame and collected itis ready for use.

CONCISE DESCRIPTION OF THE DRAWINGS

FIG. 1 is a graph of a glass transformation curve.

FIG. 2 is a picture of a sintered glass fiber/bead scaffold particle.

FIG. 3 is a magnified view of the surface of the scaffold particle ofFIG. 2.

FIG. 4 is a schematic of the apparatus used in the method of the subjectinvention.

FIG. 5 is a graphic of a crucible holding agglomerates with a void inthe middle.

FIG. 6 is a picture of a sintered and fused fiber/bead granule.

FIG. 7 is a picture of the fiber/bead granule of FIG. 6 cut in half.

FIG. 8 is a picture of a number of unsintered particulate scaffoldballs.

FIG. 9 is a picture of a sintered bead scaffold particle.

DETAILED DESCRIPTION OF THE DRAWINGS

Scaffolds for tissue engineering can be formed from bioactive glass.Bioactive glass can be Silicate bioactive glass, Borate bioactive glassor Phosphate bioactive glass. While all these glasses may be used in thesubject invention, Silicate bioactive glass, such as 45S5 and S53P4 ispreferred. Silicate bioactive glass generally has a composition ofsodium carbonate, calcium carbonate, phosphorus pentoxide and silica,such as a glass composition having about 45-60 mol % silica and a 2-10molar ratio of calcium to phosphate. Glass materials having this or asimilar composition, demonstrate the formation of a silica-rich layerand a calcium phosphate film on the materials surface in an aqueousenvironment that readily bonds the glass material to bone. Compositionalvariations can be made, through the addition of compositions such asmagnesia, potassium oxide, boric oxide, and other compounds, though itis generally known that a silica content between 45-60 mol % at theinterfacial layer is advantageous to the formation of the silica-richlayer with the calcium phosphate film to promote the formation of bondsbetween the scaffold, the natural bone and soft tissue materials.

Glass compounds are more easily formed into a fiber when the materialcan be melted and drawn into a fiber while amorphous. Bioactive andbioresorbable materials that can be fabricated into a fiber form withoutdevitrification during the fiber drawing process require high silicacontent and both sodium oxide and potassium oxide to provide a mixedalkali effect to maintain an amorphous structure when drawn into afiber. Various compounds of mixed alkali and high-silica content glassesthat can be easily pulled into fibers have demonstrated both bioactivityand bioresorbability.

The first step in crystallizing a glass is the formation of nuclei inthe glass. Nuclei can be formed by imperfections in the glass such as ona surface, or by thermal treatments. Numerous studies exist for thenucleation and growth of glass ceramics, and in particular theNa₂Ca₂SiO₃O₉ glass is of interest since this is the phase 45S5 formswhen crystallized. The glass is heated quickly (a minimum of ˜300 to400° C./min upwards of 200,000° C./sec heat rate) through the nucleationtemperature range so as to suppress nucleation and crystal growth,therefore allowing viscous flow to occur between the particles for ashort time (<1 sec to 10 to 20 min), and then cooling again at a rate˜1000 to 2500° C./min to 200,000° C./sec. This method of fast heatingand cooling reduces the crystallization effects of a glass with highcrystallization affinity and allows for the formation of a porousscaffold.

Each component of the fiber/bead un-sintered scaffold (fibers and beads)on its own is a flowable material made of individual fibers or beads.When the two are put together, crushed to a size of about 25 μm, andlightly shaken, the fibers and beads interlock, forming balls that areapproximately 0.5 to 4 mm in diameter, are soft to the touch, yetcompressible as shown in FIG. 8. The compressibility comes from theindividual glass components which are much stronger individually than ifthe individual components were lightly sintered, or bonded together witha polymeric phase as other bioactive glass scaffolds known in the art.The individual glass components can move and reconstitute; which is asignificant advantage over traditional scaffold materials.

It is also possible to use only glass particles, which are crushed toabout 25 μm, and used to form the balls. These particle balls are thensubjected to a similar thermal process as the fiber/bead balls.

The interlocking of the fibers and beads keeps the granules fromdisassociating when wet, and absorb blood and other liquids well. Thecapillary action inside the granule assists in the transfer of liquidfrom one granule to the next. The granules should be expected to adsorbany liquid that will wet glass similarly, which includes, but is notlimited to water based solutions or mixtures, alcohol solutions ormixtures, and petroleum based liquids or gels. From a clinical point ofview, these granules are beneficial for blood loss control (hemostasis),adsorbing bone marrow aspirate, delivering drugs at the site of surgery,as a bone grafting/dental scaffold, as a soft tissue scaffold, or ascomponents of a composite scaffold such as, but not limited to a bonewrap or wound dressing as exemplary applications. In clinical use, theunsintered fiber/bead balls may also be used to treat hard and softtissue wounds.

When the starting material is 45S5 bioactive glass, 90% of the fiberranges from 20 μm to 3 mm in length, 300 nm to 30 μm in diameter, with90% of the beads in the range of 30 to 425 μm in diameter, with 10-50%fibers and 40-90% beads, preferably 25% fiber and 75% beads. The fiberand beads are gently mixed to form a fiber/bead agglomerate as shown inFIG. 8. The fiber/bead agglomerate may be used at this point forbone/tissue repair, or a component thereof, or as a component of aputty, a cement or a tissue wrap. When used as a putty or cement, theagglomerate, being flexible, is simply pushed into place in a bodycavity, where, over time, it will support tissue and/or bone in growthsand acts as a restorable tissue/bone scaffold for the repair of damagedand/or diseased tissue/bone.

When sintering the fiber/bead balls, the agglomerates thus formed can beplaced in a ceramic crucible 25 and heat treated at a temperature abovethe glass transition but below the glass melting temperature (Tm) for amatter of minutes, typically in a kiln or electric furnace at 900° F. to1100° F. to form granules (FIGS. 2 and 3). The time at that temperaturewill vary dependent on the temperature. For instance at 900° F. aboutten minutes will suffice, whereas less time is needed at highertemperatures. When only particles are used to form the balls, the resultis depicted in FIG. 9. The granules are removed from the crucible andcooled rapidly on a thermally conductive material, such as a copperplate. A void in the shape of a cylinder 27 is left down the center ofthe crucible. This is done so that the fibers do not act as an insulatorand block heat from reaching the material at the center of the crucible.Also, once the granules have bonded, they are difficult to removewithout damaging the granules. The void allows heat to penetrate thegranules evenly, and the core allows material to flow upon removal andeliminates damaging the granules prior to cooling below T_(g). Aschematic of the agglomerate loading in the crucible is shown in FIG. 5.

The sintered agglomerates are then passed through a propane/oxygen flameand quickly cooled, thereby forming a shielded glass scaffold, i.e., aball having a fused glass exterior around an interior of fiber/granules.Dependent on the amount of time in the flame, the fused periphery may bemade thicker or thinner.

EXAMPLE

Approximately 100 g of the crushed mixture is placed in an 8 inchstainless steel pan and sprayed with water enough to wet the surface ofthe powder. The sprayed mixture is then gently mixed allowing the wetparticles to stick together. Agglomerates of powder can be made upwardsof 1 cm, but the size of 1 to 6 mm is optimal. The agglomerates arecollected and placed in a ceramic crucible, where they are heated toabove the glass transition temperature but below the glass melttemperature for about ten minutes about 900° F. for 45S5, and thenrapidly cooled to result in the sintered fiber/bead particle of FIGS. 2and 3. In one embodiment the fiber/bead interlocking structure isdirectly heated in the flame, with no initial sintering. In anotherembodiment the sintered particle is directly heated in a flame. Thefiber/bead interlocking structures of FIG. 8 (no sintering) are placedin the hopper 11 shown in FIG. 4 and with a vibratory feeder 12 directedinto the flame 13 of a burner 15, the flame comprising mixed andcombusted oxygen and propane. The flame settings vary with glasscomposition and burner size, but oxygen and propane are both required.The resulting temperature in the flame is therefore 3600° F. to 5100° F.Each agglomerate has the exterior fused in a fraction of a second whilein the flame, leaving loose fibers and beads in the center. It is thenblown into a collection tube 17 and cooled below the glasscrystallization and glass transition temperature (Tg).

The embodiment utilizing a sintered fiber/bead interlocking structuremay also be passed through a flame and result in an fused agglomeratewith a variable thickness of the fused exterior as above, but the centeris not loose.

The collection tube 17 is set at an angle between 15 and 45 degrees andfixed with a vibrator 19 to allow the fused granules to exit the tubeinto a collection pan 21 where the granules cool to room temperature.Depending on the flame depth and the drop distance of the agglomerate,the time each agglomerate is in the flame ranges from 1/100th to ¼th ofa second. The image of the resulting shielded granule is shown in FIG.6. The rounded glassy surface is evident, but there is a fibrous corepresent in the center that will allow for tissue ingrowth and enhancedconversion compared to a solid glass particle or bead as shown in FIGS.6 and 7. FIG. 6 is an SEM image, showing the surface of a shieldedfiber/bead granule of about 1.1-2.0 mm diameter. The surface of thegranule is covered with windows or pores that allows for tissue growthand fluid penetration. The approximate size range of the pores is ˜10 μmto ˜200 μm, which is sufficient for tissue infiltration. Due to theincreased surface area of the internal porous microstructure, the rateof reaction of the porous granule is much higher than a solid glasssphere. FIG. 7 shows the porous fiber/bead granule of FIG. 6 formed froma non-sintered agglomerate and fractured in two; the external andinternal microstructures are visible. In FIG. 7, the shield is the outerfused perimeter of the granule. There are loose fibers present at thebottom of FIG. 7 from fracturing the granule. The center of thefractured granule contains loose fibers and beads. By bonding the corethrough a longer or additional thermal treatment, the amount of bondingof the fibers and beads can be controlled. Further, an additional heattreatment for a sufficient length of time will crystalize the entiregranule.

The broken scaffold of FIG. 7 shows the porous glassy shell covering thesomewhat loose internal fiber network. The surface of the scaffolds hasthin windows covering the surface that were formed at high temperatureas the glass granules were melted and trapped gas (air) and madebubbles. The glass windows will quickly hydrate when in contact withliquids such as body fluids or blood and allow fluids to penetrate thescaffold and allow for growth of new tissues while improving thematerial properties and handling ability for clinicians.

It will be understood that the foregoing description is of preferredexemplary embodiments of the invention and that the invention is notlimited to the specific forms shown or described herein. Variousmodifications may be made in the design, arrangement, and type ofelements disclosed herein, as well as the steps of making and using theinvention without departing from the scope of the invention as expressedin the appended claims.

The invention claimed is:
 1. A shielded glass scaffold comprising amixture of bioactive glass fibers and bioactive glass beads, some of thefibers and beads fused to one another; said mixture being surrounded bya shield of fused glass, the shield having pores therein.
 2. Theshielded glass scaffold of claim 1, wherein the pores are about 10 μm toabout 200 μm in size.
 3. The shielded glass scaffold of claim 1 furtherincluding loose fibers and beads.
 4. The shielded glass scaffold ofclaim 1 wherein the fibers and the beads comprise 45S5 bioactive glass.5. The shielded glass scaffold of claim 1 wherein the fibers are 20 μmto 3 mm in length and 300 nm to 30 μm in diameter.
 6. The shielded glassscaffold of claim 1 wherein 90% of the beads are from 30 to 425 μm indiameter.
 7. The shielded glass scaffold of claim 1, wherein the mixtureis 10 to 60% fibers and 40 to 90% beads.
 8. The shielded glass scaffoldof claim 1 wherein the mixture is 25% fibers and 75% beads.
 9. Ashielded scaffold comprising an internal agglomerate comprising glassfibers and glass beads, some of the glass fibers and glass beads fusedto one another, wherein the glass fibers and glass beads comprise two ormore different glass compositions, and wherein the internal agglomerateis covered by a porous glassy shell.